Organization Active NPI

Warren Township Trustees

  • Ambulance
  • Marietta, OH
National Provider Identifier
1508535782
Registry record updated Sep 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
WARREN TOWNSHIP TRUSTEES
Doing business as
WARREN TOWNSHIP VOLUNTEER FIRE DEPARTMENT
Practice address
17305 State Route 550
Marietta, OH 45750-8315
Phone
(740) 373-2424
NPI assigned
Sep 10, 2021
Organization subpart
Yes
Parent organization
WARREN TOWNSHIP TRUSTEESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 10, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Amy D McKenzie
Title
Fiscal Officer
Phone
(740) 373-2424

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X Primary

Addresses

Primary practice location

17305 State Route 550
Marietta, OH 45750-8315

Mailing address

95 Coffman Rd
Marietta, OH 45750-6421
Phone (740) 373-2424

Other names 1

  • WARREN TOWNSHIP VOLUNTEER FIRE DEPARTMENT Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210929003306 OH Part B Supplier - Ambulance Service Supplier 2466859764 Practice locations: Marietta, OH

National Provider Directory

National Provider Directory
Part of
Warren Township Trustees

Locations

17305 State Route 550
Marietta, OH 45750
Phone (740) 373-2424

95 Coffman Rd
Marietta, OH 45750

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1631232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631232000000",
    "number": "1508535782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 COFFMAN RD",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457506421",
            "telephone_number": "740-373-2424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17305 STATE ROUTE 550",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457508315",
            "telephone_number": "740-373-2424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARREN TOWNSHIP TRUSTEES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WARREN TOWNSHIP TRUSTEES",
        "enumeration_date": "2021-09-10",
        "last_updated": "2021-09-10",
        "certification_date": "2021-09-10",
        "status": "A",
        "authorized_official_last_name": "MCKENZIE",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "FISCAL OFFICER",
        "authorized_official_telephone_number": "740-373-2424"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WARREN TOWNSHIP VOLUNTEER FIRE DEPARTMENT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marietta, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.